New York State Medicaid managed care organizations
E377748
New York State Medicaid managed care organizations are health plans that contract with the state to provide coordinated, comprehensive medical services to Medicaid enrollees under a managed care model.
All labels observed (1)
| Label | Occurrences |
|---|---|
| New York State Medicaid managed care organizations canonical | 1 |
How this entity was disambiguated
This entity first appeared as the object of triple T3656919 — resolving that mention is where its identity was fixed. The disambiguator weighed these candidate entities and picked the highlighted one (or “None”, minting a new entity). This is how homonymy is resolved: the same surface form can point to different entities.
NED1
Entity disambiguation (via context triple)
gpt-5-mini-2025-08-07
Target entity: New York State Medicaid managed care organizations Context triple: [Office of Health Insurance Programs, oversees, New York State Medicaid managed care organizations]
-
A.
Medicaid
Medicaid is a U.S. government health insurance program that provides medical coverage to low-income individuals and families, jointly funded by federal and state governments.
-
B.
Center for Medicare and Medicaid Innovation
The Center for Medicare and Medicaid Innovation is a federal agency within CMS that tests and implements new payment and service delivery models to improve quality and reduce costs in Medicare, Medicaid, and CHIP.
-
C.
Area Agencies on Aging in New York State
Area Agencies on Aging in New York State are local organizations that plan, coordinate, and provide services and supports to help older adults live independently and maintain their quality of life in communities across the state.
-
D.
Medicare secondary payer rules
Medicare secondary payer rules are federal regulations that determine when Medicare pays after another insurer (like employer group health plans, liability, no-fault, or workers’ compensation insurance) has primary responsibility for a beneficiary’s medical costs.
-
E.
New York State Office of Mental Health
The New York State Office of Mental Health is a state agency responsible for overseeing, coordinating, and providing public mental health services and policy across New York.
- F. None of above. chosen
- G. Unsure - the case is ambiguous/there is not enough information to decide.
NED2
Entity disambiguation (via description)
gpt-5-mini-2025-08-07
Target entity: New York State Medicaid managed care organizations Target entity description: New York State Medicaid managed care organizations are health plans that contract with the state to provide coordinated, comprehensive medical services to Medicaid enrollees under a managed care model.
-
A.
Medicaid
Medicaid is a U.S. government health insurance program that provides medical coverage to low-income individuals and families, jointly funded by federal and state governments.
-
B.
Center for Medicare and Medicaid Innovation
The Center for Medicare and Medicaid Innovation is a federal agency within CMS that tests and implements new payment and service delivery models to improve quality and reduce costs in Medicare, Medicaid, and CHIP.
-
C.
Area Agencies on Aging in New York State
Area Agencies on Aging in New York State are local organizations that plan, coordinate, and provide services and supports to help older adults live independently and maintain their quality of life in communities across the state.
-
D.
Medicare secondary payer rules
Medicare secondary payer rules are federal regulations that determine when Medicare pays after another insurer (like employer group health plans, liability, no-fault, or workers’ compensation insurance) has primary responsibility for a beneficiary’s medical costs.
-
E.
New York State Office of Mental Health
The New York State Office of Mental Health is a state agency responsible for overseeing, coordinating, and providing public mental health services and policy across New York.
- F. None of above. chosen
Statements (48)
| Predicate | Object |
|---|---|
| instanceOf |
Medicaid managed care organization
ⓘ
health plan ⓘ managed care plan ⓘ |
| aimsTo |
control Medicaid program costs
ⓘ
improve access to care for Medicaid members ⓘ improve quality of care for Medicaid members ⓘ |
| fundedBy |
New York State Department of Health
ⓘ
surface form:
New York State Medicaid program
Medicaid ⓘ
surface form:
United States federal Medicaid program
|
| hasContractWith | New York State Department of Health ⓘ |
| hasEnrollmentProcess | state-supervised Medicaid plan selection ⓘ |
| hasFeature |
care coordination for high-need members
ⓘ
grievance and appeal processes for members ⓘ quality measurement and reporting ⓘ |
| hasPurpose |
to manage cost and quality of Medicaid services
ⓘ
to provide comprehensive medical services to Medicaid enrollees ⓘ to provide coordinated medical services to Medicaid enrollees ⓘ |
| includesProgramType |
Fully Integrated Duals Advantage plan
ⓘ
HIV Special Needs Plan ⓘ Health and Recovery Plan ⓘ Mainstream Medicaid Managed Care ⓘ Managed Long Term Care plan ⓘ Programs of All-Inclusive Care for the Elderly ⓘ |
| monitoredBy |
Office of Health Insurance Programs
ⓘ
surface form:
New York State Department of Health Office of Health Insurance Programs
|
| mustComplyWith |
New York State Medicaid managed care quality assurance requirements
ⓘ
member rights and protections requirements ⓘ network adequacy standards ⓘ |
| offersTo |
children enrolled in Medicaid
ⓘ
eligible low-income adults ⓘ older adults enrolled in Medicaid ⓘ people with disabilities enrolled in Medicaid ⓘ |
| operatesInJurisdiction | New York State ⓘ |
| providesService |
behavioral health services
ⓘ
hospital services ⓘ long-term services and supports ⓘ pharmacy benefits ⓘ preventive care services ⓘ primary care services ⓘ specialty care services ⓘ |
| providesServiceFor | Medicaid enrollees in New York State ⓘ |
| regulatesBy | New York State Department of Health ⓘ |
| requires |
care management
ⓘ
provider network ⓘ utilization management ⓘ |
| subjectTo |
New York State Medicaid managed care model contract
ⓘ
federal Medicaid managed care regulations ⓘ |
| usesModel | managed care model ⓘ |
| usesPaymentModel |
capitation
ⓘ
value-based payment arrangements ⓘ |
How these facts were elicited
The pipeline generated the facts above by prompting gpt-5.1 with this entity's name + description and the instruction below.
Instruction
You are a knowledge base construction expert. Given a subject entity and a description of it, return factual statements that you know for the subject as a JSON list of dictionaries(triples), where keys must be "subject", "predicate" and "object". The number of facts may be very high, between 25 to 50 or more, for very popular subjects. For less popular subjects, the number of facts can be very low, like 5 or 10. # Requirements - If you don't know the subject at all, return an empty list. - If the subject is not a named entity, return an empty list. - Include at least one triple where predicate is "instanceOf". - Do not get too wordy. - Separate several objects into multiple triples with one object.
Input
Subject: New York State Medicaid managed care organizations Description of subject: New York State Medicaid managed care organizations are health plans that contract with the state to provide coordinated, comprehensive medical services to Medicaid enrollees under a managed care model.
Referenced by (1)
Full triples — surface form annotated when it differs from this entity's canonical label.
Office of Health Insurance Programs
→
oversees
→
New York State Medicaid managed care organizations
ⓘ